Individual
AMANDA PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 234-2000
Mailing address
3613 WESTMOOR BLVD, MOORHEAD, MN 56560-6913
(320) 766-4184
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R35799
ND
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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